Pinch-off syndrome

Case contributed by Dr Harish Narayanan

Presentation

Unable to draw blood from right subclavian Port-A-cath. Pain on flushing

Patient Data

Age: 70 years
Gender: Female
X-ray

Plain film shows irregularity, narrowing and fracture of right subclavian central line between the first costal cartilage and medial end of clavicle. 

CT

CT confirms findings with embolized distal segment of tubing seen saddling the pulmonary artery. 

Case Discussion

Findings are in keeping with pinch-off syndrome, a complication of subclavian central vein catheterization.

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Case information

rID: 57855
Published: 28th May 2018
Last edited: 5th May 2020
System: Chest, Vascular
Inclusion in quiz mode: Included
Institution: Western Health